Organization · Type 2 NPI

Central East Alcoholism and Drug Council

Substance Use Disorder Rehabilitation Clinic/Center · Mattoon, IL

NPI number 1508243361 Active

Practice location

416 N 19th St
Mattoon, IL 61938-2842

Fax (217) 345-6794

Mailing address

635 Division St, P.o. Box 532
Charleston, IL 61920-1902

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XA-0631-0003-A (IL)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1508243361

Central East Alcoholism and Drug Council's National Provider Identifier is 1508243361, issued on Apr 30, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Mattoon, IL. The record was last updated on Oct 22, 2018.